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Elsevier, Clinical Nutrition, 1(37), p. 189-194, 2018

DOI: 10.1016/j.clnu.2016.11.023

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Dietary patterns at 4 years old: Association with appetite-related eating behaviours in 7 year-old children

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Background amp; aims: A possible relationship between childrenapos;s dietary intake and certain aspects of eating behaviours has been documented, but most studies are cross-sectional and do not consider the complexity of the diet. The aim of this study was to quantify the association between dietary patterns established at 4 years old and appetite-related eating behaviours identified at 7 years old. Methods: Participants are children from the Generation XXI population-based birth cohort. Trained interviewers collected data at birth, 4 and 7 years old on socio-demographics, health and lifestyles, and anthropometrics. At 4 years old, diet was assessed by a Food Frequency Questionnaire and three dietary patterns were identified by Latent Class Analysis: apos;Healthierapos;, apos;Snackingapos; and apos;Energy Dense Foodsapos; (EDF). A Portuguese version of the original Childrenapos;s Eating Behaviour Questionnaire (CEBQ) was self-completed by mothers at 7 year-old. This version has previously shown good psychometric properties and the 8 CEBQ sub-domains were combined into two wider dimensions: Appetite Restraint and Appetite Disinhibition. Generalized linear models were used to estimate the associations after adjustment for maternal characteristics (n = 4358). Interaction effects were tested. Results: Children belonging to the apos;Snackingapos; (ß = 0.329, 95%CI: 0.265; 0.393) and to the apos;EDFapos; (ß = 0.138, 95%CI: 0.098; 0.179) dietary patterns at 4 years old scored increasingly higher, respectively, on Appetite Restraint and Appetite Disinhibition dimensions at 7 years old, comparatively to children in the apos;Healthierapos; dietary pattern. Maternal BMI before pregnancy modified the apos;Snackingapos; pattern associations; they were stronger in children from underweight/normal weight mothers for Appetite Restraint and present only among overweight/obese mothers for Appetite Disinhibition. Conclusions: This study suggests that children following less healthy dietary patterns early in life have more often disordered eating behaviours in later childhood. Maternal weight status may influence these associations.